Individual
DR. ANUSHA YELISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
(801) 387-6855
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A152380
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
12937226-1205
UT
207RP1001X
Pulmonary Disease Physician
Primary
12937226-1205
UT
Other
Enumeration date
04/30/2015
Last updated
07/25/2024
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